go back

Stomach Tube - Levine Type

Montana rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$30%20%40%10th90th$3Professionalmedian $3 · 10th–90th $2$90%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$3.39
Typical High
$3.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.39
Typical High
$3.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.82
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.02
Typical High
$3.98